General Permits (8159)

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CERTIFICATION OF EXEMPTIt
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_Y 2 1 1992
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, L JLFU-L•)
Department of Environment, Health, and Natural Resources and the Coastal Re@ewwazQqMmission_______�
in an area of environmental concern pursuant to 15 NCAC Subchapter 7Kk.0203.
Applicant Name r . ~- � t.?E' si Phone Number /- 12-
Address ,-1 x •"
City _ P, , t i State K i Zip
Project P cation (County, State Road, Water Body, etc.) T S k r I� i t = t, 'J
t. A 431 i v,1 ) _ICA, t C-
Type and Dimensions of Project an L r -Lz
-
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 1-5' NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH (SCALE: ) I
("tGt!
iz- -
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Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
2
CAV[A O'fficial's signature
Is g date f`
/ (a
Expiration date
I
Attachment: 15-North Carolina Administrative Code 7K .0203

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